go back

New York rates for HCPCS E2387

Power wheelchair accessory, foam filled caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $38.02 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $117.49
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $44.67 / $60.26
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $44.67 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $51.29
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $41.69 / $54.95
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $57.54 / $61.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $25.70 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $36.31 / $58.88
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $54.95 / $61.66
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $57.54 / $61.66